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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH DIRK, PHARMD,MBA

Active Sole Proprietor

DR. KENNETH DIRK, PHARMD,MBA is a Pharmacist healthcare provider located in BOISE, Idaho. NPI 1447478151 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BOISE, ID

Registration Details

NPI Number
1447478151
Provider Type
Individual
Gender
Male
NPI Issued
Apr 20, 2007 (19.275363943493 yrs)
Last Updated
Jul 8, 2007
License
P5175 (ID)
Sole Proprietor
Yes

Practice Information

Address
1219 BROADWAY AVE
BOISE, ID, 837063701
Browse ID providers · Browse ZIP 83706
Phone
2084339905
Fax
2084339907
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in BOISE, ID

Name Credential NPI
DR. SANDRA GEE JUE PHARMD 1063411007
DR. BARBARA J MASON PHARM D 1902806441
DR. ERNEST CASEY PERKINS PHARM. D. 1841282977
EILEEN MARIA TWOMEY PHARM.D. 1831181155
DR. MARIE ANN HETHERINGTON PHARMACIST 1427045434
DR. DAVID J GARRABRANDT PHARMD 1982691788
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.